Chapter 140 Insight
The major general stood two meters away from Sun Lien with a very regular manner, and the seven or eight school-level officers who followed him also stood around him - in the least way.
Although the comrades of the People's Liberation Army have tried their best not to get in the way, they are a team of nearly ten people after all. In a place like the rescue room, no matter which bed there is ten people, it will appear extremely crowded - no matter what formation they are standing in.
The major general was stunned when he saw Sun Lien's expression, then glanced at his side and immediately understood why this young doctor looked like he saw a ghost. Everyone was there, turned to the right! He lowered his voice and issued instructions to the school-level officers beside him, and walked in unison outside the iron gate!
The soldier's style is so rough and direct. After knocking out all the people in the trouble out of the rescue room, the major general smiled and said, Doctor, is it OK now?
Uh (the four-ton voice command is sure)! Sun Lien, who had never seen such a posture, was stunned for a long time and then only squeezed out two answers that were not considered a matter of course. You are because your teacher is from the army and the requirements for organizational work in the emergency room are high. People who see this aura are basically shorter.
The major general smiled and pointed to Rawls, who was lying on the bed with a stunned face. I was his superior. After all, he was a foreign army student, and his father and I were still quite familiar with each other, so we came to see the situation. Only then did Sun Lien realize that the major general had a little Shandong accent in his accent.
Sun Lien nodded thoughtfully, then looked at the surrounding gaze and hurriedly said, "This place is not suitable for discussion directly, please come with me in the conference room."
The major general nodded and said to Rawls who was lying on the bed, just lie down honestly, recuperate and recover as soon as possible.
Rawls half-lifted his body, as if he wanted to sit up and salute at least. The major general frowned, what are you doing? You are cheating? Lying down honestly, this is an order!
Rawls' half-lifted body was as if struck by lightning, and immediately lay back on the bed and replied firmly in a weak voice, yes! Although his attitude was good, his strong Shandong accent still made Sun Lien laugh when he listened.
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This kid is good at everything, but his bones are too weak. The major general walked into the conference room and saw that there was no one in the room, so he took off his hat, threw it on the table, pulled a stool and sat down. The sitting posture of the golden sword and iron horse looked very iron-blooded. However, the content of his speech was like an old uncle from the next door, with a warm feeling. Are you Xiao Liu's student?
Sun Lien didn't understand who Xiao Liu was talking about. The major general sighed and explained, "I'm talking about Liu Tangchun."
The major general is named Peng Feng, who is fifty-nine years old this year. He was once the company commander of Liu Tangchun.
Liu Tangchun has brought many young people now. Major General Peng waved his hand, and looked like an elder sighing in front of the younger generation's past life. However, the inheritance was not done well, so why didn't even recognize me?
I think Teacher Zhou should know you. Sun Lien said seriously, but Teacher Zhou was on business trips these days, and I haven't officially joined the group yet
Zhou Jun, right? Major General Peng nodded. This kid is good and looks a bit like a soldier. I don’t know if evaluating a doctor’s appearance as a soldier is considered a praise.
This Rawls is quite special. Major General Peng said again that he was a comrade-in-arms I had taken before, and Lao Mu is now a senior officer of the foreign army. He is willing to hand over his son to us for further training. This is nostalgia and recognition of us.
Sun Lien nodded. He was particularly impressed by Rawls's Shandong dialect.
Peng Feng sighed and continued, "It's time to start with this. I have also taken a lot of effort to get Xiao Liu to Tanzania. After a long time of struggle, I remembered that Rawls, the old man, lived a good life there. Xiao Sun, it doesn't matter if you are not sure. We just need to transfer people to the capital as soon as possible. Xiao Sun, you are not a soldier. We never ask the price for the treatment of soldiers in our army, but only look at the results."
When Sun Lien heard this, he could not understand what General Peng meant. Isn’t it just another form of doing everything he could to do at all costs and doing all means. And he was very polite, so it would be best if he could cure it. If he was not sure, don’t leave anyone behind, so as not to delay the transfer of others to the capital.
Sun Lien's feelings about General Peng's request were actually quite complicated. On the one hand, they were really polite, and there was no unreasonable thing that had to be cured, otherwise they would threaten to cause trouble for you. But on the other hand, General Peng did not hide his distrust of Sun Lien and even the entire Fourth Hospital. After all, in his understanding, the Fourth Central Hospital is just a hospital that is good at emergency treatment. It is okay to do emergency treatment and emergency treatment. If you really want to treat the disease, you have to go to the big hospital in a big city. Even if you don't go to the Military General Hospital of the Capital, the Military Region General Hospital should be stronger than the Fourth Hospital - if it weren't for Liu Tangchun's random ideas, Rawls wouldn't have gone to the Fourth Hospital to see a doctor.
Because of the last reason, General Peng actually had some opinions on the Fourth Hospital. However, he did not make things difficult for Sun Lien, but put forward a relatively compromised solution. Let's just let Rawls treat us today. If you still have no clue about his illness after 12 o'clock, then we will transfer to the hospital to the capital.
General Peng was talking when Yuan Ping'an suddenly walked in from outside the door. He hurried to Sun Lien, holding the checklist that had just been printed in his hand. Doctor Sun, look at this.
The things that Yuan Ping'an hurriedly brought were basically no good news. This time, no exception - Rawls' five results of urine routine and liver function were released, and the result was acute liver injury combined with acute kidney injury.
Acute renal injury in patients with hemolytic anemia is simply a standard procedure. Since the main functional units of the kidney are extremely dependent and sensitive to blood cells, hemolytic anemia itself will cause a decrease in blood oxygen saturation and affect the efficiency of kidney operation. Moreover, the heme protein released by the large amount of damage to dead red blood cells in the blood will even directly cause blood vessels to contract in the kidney and directly cause toxic damage to kidney cells. The efficiency of kidney operation decreases, and the ability to filter and discharge waste is weakened, and these wastes that cannot be excreted immediately will further aggravate kidney damage, thus forming a vicious cycle of kidney damage.
However, acute liver injury and hemolytic anemia are generally not directly related. Generally speaking, if a patient who has the same experience as Rawls experiences liver damage, Sun Lien's first reaction will be drug-induced liver damage. But this time he was a little hesitant - it is unlikely that the status bar will miss such important symptoms. According to Sun Lien's experience of using the status bar to diagnose many times in the past month, if the status bar does not directly remind a certain symptom, the only possibility is that the existing symptoms are enough to infer this conclusion.
General Peng looked at Sun Lien in a daze. After waiting for a while, he opened his mouth and asked, is this item Rawls's inspection report?
General Peng's question recalled Sun Lien's attention. He nodded and asked Yuan Ping'an to see Zhou Ce. If there was no problem with the symptoms, then go to continuous hemodialysis and give his kidney a puncture biopsy to see the type of kidney damage.
Yuan Ping'an nodded and asked, What about the liver?
Sun Lien frowned and thought about it for a while, first conservative treatment, and slowly pushed two polyene phospholipids. It would take him some time and additional evidence to associate acute liver damage with Rawls' symptoms.
His condition is even worse, right? When Yuan Ping'an left the small conference room, Peng Feng picked up the conversation again. Doctor Sun, although it may not be satisfactory, I hope you can understand my difficulties. A general who is almost forty years older than Sun Lien can say the word "difficulty", which actually proves from the indirect evidence that Rawls' identity is indeed difficult. If you can't figure out what disease he has today, I can only choose to transfer him to the capital.
Sun Lien nodded. It is the right of the decision-making agent to transfer patients to the patient. However, I need to remind you that after all, Rawls and you are not a direct relative, so to transfer patients, theoretically, they need to obtain his own consent and authorization from his immediate relatives.
General Peng nodded, picked up his hat from the table and put it on his head. Someone would deal with these things. He sorted out the hem of his military dress and said to Sun Lien. Although Rawls is a black man, since he is my student, I will treat him as his soldier. I also hope that he can get the best treatment, not for you, Dr. Sun.
Sun Lien blinked, and was about to continue this kind of politeness when suddenly his brows frowned.
Doctor Sun? Peng Feng looked at Sun Lien with a sudden change in his face, thinking that he might have any physical discomfort. What's wrong? Do I need to call someone?
Sun Lien waved his hand suddenly. He flipped through the information piled up on the small conference table. After searching for five minutes, he found what he was looking for - the original blood routine test report of the hospital stationed in the training ground, and the original blood routine test report issued by the Laboratory Department of the Fourth Central Hospital.
After a quick brows, Sun Lien's frown suddenly let go. He put down the two originals in his hand and said to Peng Feng, General Peng, please give me two hours. If I can't find out the reason why Rawls is sick within two hours, I will help you with the transfer procedures immediately.
In the small conference room, Peng Feng's aura was suppressed by Sun Lien for the first time - the expression on Sun Lien's face was the feeling of the comfort and pleasure after a strange puzzle.
Chapter completed!